| NPI | 1578848651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAREK SULZYNSKI Administrator 609-588-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD433529) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA08725900) |
| 225100000X Physical Therapist (Licence: NJ 40QA01357000) | |
| 225100000X Physical Therapist (Licence: PA MD019816) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2012-01-11 |